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Showing results for "failures".

  1. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric
    June 27, 2011 - Study Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. Citation Text: Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital di…

  2. Why it is so hard to talk about overuse in pediatrics and why it matters. | PSNet

    psnet.ahrq.gov/issue/why-it-so-hard-talk-about-overuse-pediatrics-and-why-it-matters
    March 04, 2020 - Commentary Why it is so hard to talk about overuse in pediatrics and why it matters. Citation Text: Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters. JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239. Copy Citatio…

  3. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit
    February 19, 2014 - Review Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Citation Text: Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Crit Care Med. 2010;38(6 Suppl)…

  4. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. | PSNet

    psnet.ahrq.gov/issue/consequences-running-more-operating-theatres-anaesthetists-staff-them-stochastic-simulation
    October 19, 2022 - Study Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Citation Text: Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth. 2007…

  5. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. | PSNet

    psnet.ahrq.gov/issue/perceived-adverse-patient-outcomes-correlated-nurses-workload-medical-and-surgical-wards
    February 01, 2013 - Study Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. Citation Text: Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected ho…

  6. Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness | PSNet

    psnet.ahrq.gov/issue/effect-sedation-weaning-protocol-safety-and-medication-use-among-hospitalized-children-post
    August 04, 2021 - Journal Article Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness Citation Text: Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children P…

  7. Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
    June 08, 2022 - Newspaper/Magazine Article Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. Citation Text: Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. Copy Citation Format: Go…

  8. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. | PSNet

    psnet.ahrq.gov/issue/what-are-covering-doctors-told-about-their-patients-analysis-sign-out-among-internal-medicine
    February 15, 2011 - Study What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qua…

  9. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? | PSNet

    psnet.ahrq.gov/issue/discontinuation-antihyperglycemic-therapy-after-acute-myocardial-infarction-medical-necessity
    February 28, 2011 - Study Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? Citation Text: Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical e…

  10. We are going to name names and call you out! Improving the team in the academic operating room environment. | PSNet

    psnet.ahrq.gov/issue/we-are-going-name-names-and-call-you-out-improving-team-academic-operating-room-environment
    September 23, 2020 - Study We are going to name names and call you out! Improving the team in the academic operating room environment. Citation Text: Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in the Academic Operating Room Environment. Ann Plast Surg. 2017;…

  11. Impact of a restraint management bundle on restraint use in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
    October 18, 2023 - Commentary Impact of a restraint management bundle on restraint use in an intensive care unit. Citation Text: Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.00…

  12. Automatic detection of omissions in medication lists. | PSNet

    psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
    December 31, 2014 - Study Automatic detection of omissions in medication lists. Citation Text: Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106. Copy Citation Format: DOI Googl…

  13. Case-control analysis of the financial cost of medication errors in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
    January 15, 2025 - Study Case-control analysis of the financial cost of medication errors in hospitalized patients. Citation Text: Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006;7(1):66-71. Copy…

  14. Evolution of a rapid response system from voluntary to mandatory activation. | PSNet

    psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
    June 07, 2023 - Commentary Evolution of a rapid response system from voluntary to mandatory activation. Citation Text: Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241. Copy Citation Forma…

  15. Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
    September 28, 2010 - Study Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. Citation Text: Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…

  16. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. | PSNet

    psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics
    February 17, 2017 - Study A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. Citation Text: Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics…

  17. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. | PSNet

    psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
    October 23, 2024 - Commentary Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Citation Text: Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…

  18. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies
    September 02, 2009 - Study Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Citation Text: Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013. Copy Citati…

  19. Safety of overlapping inpatient orthopaedic surgery: a multicenter study. | PSNet

    psnet.ahrq.gov/issue/safety-overlapping-inpatient-orthopaedic-surgery-multicenter-study
    April 24, 2018 - Study Safety of overlapping inpatient orthopaedic surgery: a multicenter study. Citation Text: Dy CJ, Osei DA, Maak TG, et al. Safety of Overlapping Inpatient Orthopaedic Surgery: A Multicenter Study. J Bone Joint Surg Am. 2018;100(22):1902-1911. doi:10.2106/JBJS.17.01625. Copy Citatio…

  20. The effect of physicians' long-term use of CPOE on their test management work practices. | PSNet

    psnet.ahrq.gov/issue/effect-physicians-long-term-use-cpoe-their-test-management-work-practices
    March 23, 2011 - Study The effect of physicians' long-term use of CPOE on their test management work practices. Citation Text: Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. Cop…
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